Fujimoto Y, Matsuura H, Kawabata K, Takahashi K, Tayama N
Department of Head and Neck Surgery, Aichi Cancer Center Hospital, Nagoya.
Nihon Jibiinkoka Gakkai Kaiho. 1997 Nov;100(11):1401-7. doi: 10.3950/jibiinkoka.100.1401.
The Swallowing Ability Scale (SAS) has been recently reported by us. This scale is a new method to assess dysphagia after therapy for oral and oropharyngeal cancer. The preliminary results on 23 patients showed that the scale was reliable and sensitive to functional differences across a broad spectrum of oropharyngeal dysphagia after therapy. This paper confirmed the above facts in 73 oral and oropharyngeal cancer patients who were treated in two hospitals between 1995 and 1996. As stated in the previous paper, SAS consists of a 2-step questionnaire: the MTF score and the Dysphagia score. The MTF score is a simple and practical assessment tool consisting of three subscales: 1) Method of intake, 2) Time of intake, and 3) Food. The Dysphagia score is a relevant assessment tool for defining patients' anatomic or physiologic swallowing disorders. In 40 patients with wide resection of the tongue, the Dysphagia score (p < 0.05) and the MTF score (p < 0.01) were significantly decreased. And we found a correlation between the MTF score and the Dysphagia score (r = 0.78, p < 0.001) in 73 patients. The usefulness of the SAS will be further studied for the assessment of rehabilitation to improve postoperative dysphagia.
我们最近报道了吞咽能力量表（SAS）。该量表是一种评估口腔和口咽癌治疗后吞咽困难的新方法。对23例患者的初步结果表明，该量表对于治疗后广泛的口咽吞咽困难的功能差异具有可靠性和敏感性。本文在1995年至1996年间于两家医院接受治疗的73例口腔和口咽癌患者中证实了上述事实。如前文所述，SAS由一个两步问卷组成：MTF评分和吞咽困难评分。MTF评分是一种简单实用的评估工具，由三个子量表组成：1）摄入方式，2）摄入时间，3）食物。吞咽困难评分是用于定义患者解剖或生理吞咽障碍的相关评估工具。在40例舌广泛切除的患者中，吞咽困难评分（p < 0.05）和MTF评分（p < 0.01）显著降低。并且我们在73例患者中发现MTF评分与吞咽困难评分之间存在相关性（r = 0.78，p < 0.001）。SAS在评估康复以改善术后吞咽困难方面的有用性将进一步研究。
